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Test Bank for Psychiatric Mental Health Nursing 5th Edition by Katherine M. Fortinash ISBN:9780323075725 all chapters| Complete Guide A+

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Chapter 01: Psychiatric Nursing: Theory, Principles, and Trends 1. Which understanding is the basis for the nursing actions focused on minimizing mental health promotion of families with chronically mentally ill members? a. Family members are at an increased risk for mental illness. b. The mental health care system is not prepared to deal with family crises. c. Family members are seldom prepared to cope with a chronically ill individual. d. The chronically mentally ill receive care best when delivered in a formal setting. ANS: A When families live with a dominant member who has a persistent and severe mental disorder the outcomes are often expressed as family members who are at increased risk for physical and mental illnesses. The remaining options are not necessarily true. DIF: Cognitive Level: Application REF: Page 3 2. Which nursing activity shows the nurse actively engaged in the primary prevention of mental disorders? a. Providing a patient, whose depression is well managed, with medication on time b. Making regular follow-up visits to a new mother at risk for post-partum depression c. Providing the family of a patient, diagnosed with depression, information on suicide prevention d. Assisting a patient who has obsessive compulsive tendencies prepare and practice for a job interview ANS: B Primary prevention helps to reduce the occurrence of mental disorders by staying involved with a patient. Providing medication and information on existing illnesses are examples of secondary prevention which helps to reduce the prevalence of mental disorders. Assisting a mentally ill patient with preparation for a job interview is tertiary prevention since it involves rehabilitation. DIF: Cognitive Level: Application REF: Page 4 3. Which intervention reflects attention being focused on the patient‘s intentions regarding his diagnosis of severe depression? a. Being placed on suicide precautions b. Encouraging visits by his family members c. Receiving a combination of medications to address his emotional needs d. Being asked to decide where he will attend his prescribed therapy sessions ANS: D A primary factor in patient treatment includes consideration of the patient‘s intentions regarding his or her own care. Patients are central to the process that determines their care as their abilities allow. Under the guidance of PMH nurses and other mental health personnel, patients are encouraged to make decisions and to actively engage in their own treatment plans to meet their needs. The remaining options are focused on specifics of the determined plan of care. DIF: Cognitive Level: Application REF: Page 5

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Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
ar ar ar ar ar ar ar a r


Edition.

Fortinash: a r Psychiatric ar Mental a r Health a r Nursing, a r 5th


ar Edition a r Chapter a r 01: a r Psychiatric a r Nursing: a r Theory,


ar Principles, a r and a r Trends

1. Which arunderstanding aris arthe arbasis arfor arthe arnursing aractions arfocused a r on
arminimizing armental a r health a r promotion a r of a r families a r with a r chronically

a r mentally a r ill a r members?


a. Family a r members a r are a r at a r an a r increased a r risk a r for a r mental a r illness.
b. The a r mental a r health a r care a r system ar is a r not a r prepared a r to a r deal a r with
a r family a r crises.


c. Family a r members a r are ar seldom a r prepared a r to a r cope a r with a r a a r chronically
a r ill a r individual.


d. The a r chronically a r mentally a r ill a r receive a r care a r best a r when a r delivered a r in a r a
a r formal a r setting.

ANS: a r a r A
When a r families a r live a r with a r a a r dominant a r member a r who a r has a r a a r persistent a r and
a r severe a r mental ardisorder a r the a r outcomes a r are a r often a r expressed a r as a r family a r members

a r who a r are a r at a r increased a r riskifor arphysical arand armental arillnesses. arThe arremaining aroptions

arare arnot arnecessarily artrue.

DIF: Cognitive a r Level: a r Application REF: Page a r 3

2. Which a r nursing a r activity a r shows a r the a r nurse a r actively a r engaged a r in a r the
a r primary a r prevention arofmental ardisorders?


a. Providing a r a a r patient, a r whose a r depression a r is a r well a r managed, a r with
a r medication a r on a r tim
b. Making a r regular a r follow-up a r visits a r to a r a a r new a r mother a r at a r risk ar for
a r post-partum ardepression


c. Providing a r the a r family a r of a r a a r patient, a r diagnosed a r with a r depression,
a r information a r on arsuicide arprevention


d. Assisting a r a a r patient a r who a r has a r obsessive a r compulsive a r tendencies
a r prepare a r and arpractice arfor ara arjob arinterview

ANS: B
Primary a r prevention a r helps a r to a r reduce a r the a r occurrence a r of a r mental a r disorders
a r by a r staying arinvolved a r with a r a a r patient. a r Providing a r medication a r and a r information

a r on a r existing a r illnesses a r are arexamples a r of a r secondary a r prevention a r which a r helps

a r to a r reduce a r the a r prevalence a r of a r mental ardisorders. a r Assisting a r a a r mentally a r ill

a r patient a r with a r preparation a r for a r a a r job a r interview a r is a r tertiary arprevention arsince arit

arinvolves arrehabilitation.

DIF: Cognitive a r Level: a r Application REF: Page a r 4

3. Which a r intervention a r reflects a r attention a r being a r focused a r on ar the a r patient‘s
a r intentions arregarding arhis a r diagnosis a r of arsevere a r depression?


a. Being a r placed a r on arsuicide a r precautions
b. Encouraging ar visits ar by a r his a r family ar members
c. Receiving a r a a r combination a r of a r medications a r to a r address a r his
a r emotional a r needs


d. Being a r asked a r to a r decide a r where a r he a r will a r attend a r his a r prescribed
Page ar1

, a r therapy a r sessions
ANS: a r D
A a r primary a r factor a r in a r patient a r treatment a r includes a r consideration a r of a r the
a r patient‘s a r intentions arregarding a r his a r or a r her a r own a r care. a r Patients a r are a r central

a r to a r the a r process a r that a r determines a r their arcare a r as a r their a r abilities a r allow. a r Under

a r the a r guidance a r of a r PMH a r nurses a r and a r other a r mental a r health arpersonnel, a r patients

a r are a r encouraged a r to a r make a r decisions a r and a r to a r actively a r engage a r in

a r their arown a r treatment a r plans a r to a r meet a r their a r needs. a r The a r remaining a r options

a r are a r focused a r on arspecificsof arthe ardetermined arplan arof arcare.

DIF: Cognitive a r Level: a r Application REF: Page a r 5




Page ar2

, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
ar ar ar ar ar ar ar a r


Edition.

4. When a r a a r patient‘s a r family a r asks a r why a r their a r chronically a r mentally a r ill a r adult
a r child a r is a r being ardischarged a r to a r a a r community-based a r living a r facility, a r the

a r nurse a r responds:


a. ―It a r is a r a a r way a r to a r meet a r the a r need a r for a r social a r support.‖
b. ―It a r is a r too ar expensive a r to ar keep ar stabilized ar patients a r in ar acute a r care
a r settings.‖


c. ―This a r type a r of a r facility ar will a r provide a r the a r specialized ar care a r that a r is a r needed.‖
d. ―Being a r out a r in a r the a r community a r will a r help a r provide a r hope a r and a r purpose
a r for a r living.‖

ANS: a r D
Hospitalization a r may a r be a r necessary a r for a r acute a r care, a r but, a r when a r patients a r are
a r stabilized, a r they a r move a r into a r community-based, a r patient-centered a r settings a r or a r are

a r discharged a r home a r with arcontinued a r outpatient a r treatment a r in a r the a r community.

a r Concentrated a r efforts a r are a r made a r to arreduce a r the a r patient‘s a r sick a r role a r by

a r providing a r opportunities a r for a r the a r development a r of a r a arpurposeful a r life a r and

arinstilling a r hope a r for a r each a r patient‘s a r future. a r Although arsocial a r support a r is arimportant,

a r such a r a a r living a r arrangement a r is a r not a r the a r only a r way a r to a r achieve a r it. a r Although

a r acute arcare a r is a r expensive, a r it a r is a r not a r the a r major a r concern a r when a r determining

a r long-term a r care a r options. arCommunity-based a r facilities a r are a r not a r the a r only a r option

a r for a r specialized a r care.

DIF: Cognitive a r Level: a r Application REF: Page a r 5

5. What a r is a r the a r best a r explanation a r to a r offer a r when a r the a r mother a r of a r a
a r chronically a r ill a r teenage arpatient a r asks, a r ―Under a r what a r circumstances

a r would a r he a r be a r considered a r incompetent?‖
a. ―When aryou a r can arprovide arthe a r court arwith arenough arevidence a r to arshow arthat arhe
a r is a r not arable arto arcare arfor arhimself arsafely.‖


b. ―It a r is a r not a r likely a r that a r someone a r his a r age a r would a r be a r determined a r to
a r be a r incompetent arregardless arof arhis armental arcondition.‖


c. ―He a r would a r have a r to a r engage a r in a r behavior a r that a r would a r result ar in a r harm
a r to a r himself a r or a r to arsomeone arelse; arlike aryou aror arhis arsiblings.‖


d. ―If a r the a r illness a r becomes a r so a r severe a r that a r his a r judgment a r is a r impaired a r to
a r the a r point a r whe arthe a r decisions a r he a r makes a r are arharmful a r to arhimself aror arto re
arothers.‖

ANS: a r D
When a r a a r person a r is a r unable a r to a r cognitively a r process a r information a r or a r to
a r make a r decisions a r about arhis a r or a r her a r own a r welfare, a r the a r person a r may a r be

a r determined a r to a r be a r mentally a r incompetent.

Providing a r self-care a r is a r not a r the a r only a r criteria a r considered. a r Age a r is a r not a r a
a r factor a r considered. a r The ardecision aris a r often a r based a r on a r the a r potential a r for a r such

a r behavior.

DIF: Cognitive a r Level: a r Application REF: Page a r 6

6. Which a r psychiatric ar nursing a r intervention a r shows a r an ar understanding ar of a r integrated ar care?
a. A a r chronically a r abused a r woman a r is a r assessed a r for a r anxiety.
b. A manic a r patient
ar a r is ar taken ar to a r the a r gym a r to a r use a r the a r exercise
a r equipment.
c. The a r older a r adult a r diagnosed a r with a r depression a r is a r monitored a r for
a r suicidal a r ideations.
s.
ANS: a r a r A
d. Aa ra majority
The r teenager a r who a r refuses a r to a r obey a r the a r unit‘s a r rules a r is a r not a r allow
a r of a r health a r disciplines a r now a r recognize a r that a r mental a r disorders a r and
a r to a r play a r video a r game
a r physical

illnesses a r are a r closely a r linked. a r The a r presence a r of a r a a r mental a r disorder a r increases
a r the a r risk a r for a r the ardevelopment a r of a r physical a r illnesses a r and a r vice a r versa.

a r Assessing a r a a r chronically a r abused arindividual a r for a r anxiety a r call a r should


Page ar3

, Test Bank for Fortinash Psychiatric Mental Health Nursing 5th
ar ar ar ar ar ar ar a r


Edition.
attention a r to a r the a r psychiatric a r disorder a r that a r could a r develop arfrom a r the a r abuse.
a r

The a r remaining a r options a r show a r interventions a r that a r are a r appropriate a r for a r the
a r

armental ardisorder.

DIF: Cognitive a r Level: a r Application REF: Page a r 6

7. What a r reason a r does a r the a r nurse a r give a r the a r patient a r for a r the a r emphasis a r and
a r attention a r being




Page ar4

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